This Week's Topic: Fascial Plane Ultrasound – Beyond Nerve Blocks
Zoom Link:
Meeting ID: 871 3969 2746
Passcode: 12345
Learning Objectives
- Recognize the normal and pathological sonographic characteristics of fascia, including thickening, fluid tracking, and scarring.
- Describe how fascial ultrasound differs in pediatric patients, including age-specific anatomy and common pathologies.
- Discuss the diagnostic and therapeutic role of ultrasound in myofascial pain syndromes, including the use of shear wave elastography and hydrodissection.
- Evaluate the procedural use of ultrasound-guided hydrodissection for fascial entrapment syndromes, such as deep gluteal syndrome, beyond traditional nerve blocks.
- Identify opportunities to expand emergency ultrasound into underutilized fascial plane applications, especially for pain syndromes, mobility restrictions, and soft tissue dysfunction
Articles for Discussion are listed below with the PDFs attached to this email.
Extra Content can be found below in the green text for anyone wanting to dive into the topic further.
- Article 1
Ultrasonography of the Fasciae and Common Pathologies. Diagnostics. 2023.
→ Provides a foundational overview of fascial anatomy and ultrasound appearances of pathologies including thickening, adhesions, and fluid tracking. - Article 2
Basic Differences and Most Common Findings in Ultrasound Examinations of the Musculoskeletal System in Children: A Narrative Literature Review. Healthcare. 2022.
→ Highlights age-specific fascial and musculoskeletal ultrasound findings in pediatric patients, including effusions, edema, and soft tissue variants. - Article 3
Ultrasound Imaging and Guidance in the Management of Myofascial Pain Syndrome: A Narrative Review. J Yeungnam Med Sci. 2024.
→ Explores the diagnostic and interventional role of ultrasound in myofascial pain, including elastography and interfascial hydrodissection. - Article 4
Ultrasound-Guided Superior Gluteal Nerve Hydrodissection in the Treatment of Deep Gluteal Syndrome. Pain Studies and Treatment. 2024.
→ Presents a case of functional recovery using ultrasound-guided hydrodissection to relieve superior gluteal nerve entrapment from fascial scarring.
***Extras***
- Ultrasound G.E.L. Podcast Blog: Transgluteal Hydrodissection for Sciatica
- YouTube Webinar: Ultrasound-guided Peripheral Nerve Hydrodissection
SonoSite webinar that highlights five common nerve entrapment syndromes that are responsive to this treatment, including carpal tunnel syndrome, meralgia paresthetica, cervical plexus, medial scapular border pain, and tarsal tunnel syndrome. - YouTube Playlist on Trigger Points and Myofascial Pain
Created by Dr. Jeffrey Peng, who is a Stanford trained physician, board certified in sports medicine and family medicine, with specialization in musculoskeletal ultrasound. - Ultrasound-Guided Hydrodissection for Medial Scapular Border Pain: A Case Series
Case series hosted on the Fascia Institute and Treatment Center website. While it offers valuable clinical insights, it has not undergone the formal peer-review process, and therefore was not included in the proposed articles for review.
Article-1-Fasciae-Common-Pathologies-2023.pdf